Individual provider Active NPI

Stephanie M De Lahoussaye, LPC, NCC

  • Professional Counselor
  • Denham Springs, LA
National Provider Identifier
1437375375
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4172 Issued in LA
Practice address
8703 Wildwood Dr
Denham Springs, LA 70706-2039
Phone
(225) 788-3805
Fax
(225) 665-3507
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4172 LA Primary

Addresses

Primary practice location

8703 Wildwood Dr
Denham Springs, LA 70706-2039

Mailing address

8703 Wildwood Dr
Denham Springs, LA 70706-2039
Phone (225) 788-3805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241109000415 LA Practitioner - Mental Health Counselor 1951835297 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4172LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Health Services CurrentSince Oct 21, 2024 Accepting new patients
Azalea Health Services Texas LLC CurrentSince Oct 21, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1437375375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 WILDWOOD DR",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707062039",
            "telephone_number": "225-788-3805",
            "fax_number": "225-665-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 WILDWOOD DR",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707062039",
            "telephone_number": "225-788-3805",
            "fax_number": "225-665-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LAHOUSSAYE",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

Verify at the official NPI Registry.